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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What caused my extreme heart burn?

I am a 52yr. old woman. 5' 1", 150, history of mini-strokes and high blood pressure. Last night I had extreme heart burn in my stomach, chest and back. Lasted all night. Husband gave me Nexium in morning. Helped. Now I am completly wiped out and blood pressure 136/101, heart rate 91. Just don't feel right. Should I be concerned?
Fri, 7 Oct 2016
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General & Family Physician 's  Response
Hello,

Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.
heart burnng can be due to acidity or can be it is due to undelyng cardiac patoogy..if u were my pateint i would like to take teail hstroy that is this heart burn occur ussally n what time it come ,do u have metallic mouth taste esp at early morning to look for is u having GERD,or having heart burn with exercise that sgeest u miht have exertional dyspnea that can be due to underlyng heart ischemia..do detail exam n then run some tests, like do PH 24 hr monitring for GERD,but most of time it is history n examination based dx.... ecg to look for ischmic chnges,if these are present then do cardiac enzymes ,ETT in case of hidden ischemia,c angio if needed n then tx accodrngly onthe line of IHD...for GERD need cousre of PPI n avoid spicy food,lift bed head side 5-6 inches before sleep...
I hope this answered your question, if you have more feel free to ask.

Regards.

Dr.Asad Riaz.
General and Family Physician.
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